DSM-5 Development: Substance Use and Addictive Disorders — Open for Review and Comments
American Psychiatry Association Share
The American Psychiatry Association has released the proposed definitions for the diagnostic category Substance Use and Addictive Disorders. This category contains diagnoses that were listed in DSM-IV under the chapter of "Substance-Related Disorders." Among the proposals is the recommendation that the diagnostic category include both substance use disorders and nonsubstance addictions. Gambling disorder has been moved into this category. Take this opportunity to review and comment on these disorders. Comment period ends June 15.
Propsed APA DSM-5 — "Substance Use and Addictive Disorders"
The Physician Clinical Support System for Methadone (PCSS-M) Releases New Clinical Guidance
To view the newest clinical guidance from the PCSS-M project, click here.
As Level-of-Care Criteria Turn 20, Effort to Broaden Their Use Intensifies
Addiction Professional Share
It has been 20 years since publication of the first edition of the Patient Placement Criteria for the Treatment of Substance-Related Disorders. ASAM wants to make further inroads toward allowing the Patient Placement Criteria to have a national reach. To that end, ASAM has embarked on an agreement with The Change Companies, a multimedia information provider and consultant offering change-focused patient materials to treatment organizations, to establish a diverse product line featuring the criteria. More
ABAM Addiction Residencies Highlighted by Joined Together
Join Together Share
The American Board of Addiction Medicine's newly accredited addiction residencies will be featured in the May 17 issue of Join Together e-news. "Physicians who graduate from these residencies will be a vital component of the multidisciplinary teams that treat addictive disorders," stated ABAM President Kevin Kunz, M.D. More
Higher Opioid Dose for Nonmalignant Pain Linked to Mortality
Archives of Internal Medicine - Free Abstract Share
In patients given opioids for nonmalignant pain, the daily dose is strongly associated with opioid-related mortality, particularly at doses over thresholds recommended in recent clinical guidelines, according to the results of a population-based, nested, case-control study reported in the the Archives of Internal Medicine. More
Daily Alcohol Drinking May Increase Risk for Certain Cancers
British Medical Journal - Abstract Share
Cancer risk increases with every extra daily drink, according to recent research. The analysis of 364,000 people in eight countries, found that 44 percent of cancers of the upper aerodigestive tract in men and 25 percent in women might be linked to alcohol; liver cancer (33 percent in men, 18 percent in women); colorectal cancer (17 percent in men, 4 percent in women); and about 5 percent of breast cancers in women. The American Cancer Society agrees that alcohol raises the risk of cancer in the mouth, throat, voice box, and esophagus. Alcohol may act as a solvent, to tissue lining, allowing harmful chemicals through (especially tobacco from smoking), ACS explained. Alcohol may also raise drinkers' cirrhosis risk by further damaging liver cells; and it may change estrogen levels, increasing breast cancer risk. More
Certain Genes Could Add to Alcoholism Risk
HealthDay News via MedicineNet.com Share
People with certain variations in a gene called GABRA2 have an increased risk for alcoholism, a new study has found. When under stress, people with these gene variations tend to act impulsively, which can lead to the development of drinking problems. Brain scans of study participants revealed that people with one form of the GABRA2 associated with alcoholism had greatly increased levels of activation in an area of the brain called the insula when they were anticipating rewards or losses. Previous research had found an association between the insula and addictive behavior.
» HealthDay News via MedicineNet.com » Molecular Psychiatry - Abstract
At Any Age Depression Diagnosis Tracks Opioid Use
MedPage Today (free registration required) Share
Teens and young adults with mental health disorders may be more likely to become chronic users of opioid drugs, according to results of a large study reported. The study of more than 59,000 chronic pain patients (ages 13-24) found that, overall, 17.1 percent of chronic opioid users had a mental health or substance use diagnosis, compared with 10.6 percent among nonchronic users, and 8.2 percent for those who did not use opioids. More
Challenging the Second 'A' in AA
The New York Times Share
Anonymous no more. A generation in recovery is speaking out and rejecting a central tenet of the process. More
Florida Targeting 'Pill Mills'
The Wall Street Journal Share
Florida's legislature passed a bill that aims to crack down on the epicenter for illegal prescription drug sales in the country. The bill stiffens penalties for doctors who overprescribe medication and for individuals who improperly set up pain-management clinics. It also tightens reporting requirements to a soon-to-be-created drug-monitoring database. More
Teen Drug Abuse: 14 Mistakes Parents Make
CBS News Share
Substance abuse among young people is a much bigger problem than many parents realize. One in 10 kids 12 to 17 years of age are current users of illicit drugs, according to a 2009 government survey. Parents can also do a lot more than some realize to help protect teens from drugs or alcohol. One key is avoiding simple mistakes, like these 14 cited by addiction specialist Joseph Lee, M.D., a spokesman for the American Academy of Child and Adolescent Psychiatry and medical director the Hazelden Center for Youth and Family, an addiction treatment facility in Minneapolis. More
FDA Seeks to Regulate E-Cigarettes as Tobacco Products
The Associated Press via USA Today Share
The Food and Drug Administration announced that it will act to ensure the government's right to impose marketing, manufacturing, and safety restrictions on "electronic cigarettes," a nicotine delivery device widely billed as an alternative to cigarettes for those trying to quit and for smokers who can't light up. In a letter posted to the FDA's website, Dr. Lawrence R. Deyton, director of the FDA's Center for Tobacco Products, said the agency will act to regulate e-cigarettes as tobacco products. To shore up its authority to do so, the agency will propose new regulatory language that would specifically define e-cigarettes as a tobacco product. The FDA said it won't try to regulate smokeless electronic cigarettes under stricter rules for drug-delivery devices. More
CDC: Massachusetts Teens — Increase in HCV infections
A marked increase in new hepatitis C infections among teens and young adults in Massachusetts is a "disturbing trend" that may be mirrored elsewhere, according to the Centers for Disease Control. Overall, new cases of the virus have been declining, both in Massachusetts and nationally. More
ASAM Supports 'The Prescription Drug Abuse Prevention and Treatment Act of 2011'
On March 8, Sen. John D. Rockefeller, D-WV, introduced S.B. 507, "The Prescription Drug Abuse Prevention and Treatment Act of 2011." ASAM followed with a letter of support. Provisions of the bill include: grants for consumer education on opioid abuse, additional prescriber education requirements focusing on treatment and management of opioid-dependent patients and pain patients, and early detection of opioid addiction. Other provisions include the establishment of a controlled substance clinical standards commission and a national opioid death registry.
» Click here to view the entire bill
» Click here to view ASAM's letter
CME: Tobacco Use and Dependence: An Updated Review of Treatments
University of Washington Share
A new CME opportunity from the University of Washington and Medscape is available online. The activity is meant to meet the needs of professionals who provide health care to tobacco users, and is intended to identify effective interventions for tobacco use that can be offered during clinical/medical visits. It provides 1.00 AMA PRA Category 1 Credit(s)™. More
Women — It's Your Time
Office on Women's Health OWH logog Share
National Women's Health Week is an observance coordinated by the U.S. Department of Health and Human Services. It brings together communities, businesses, government, health organizations, and other groups in an effort to promote women's health. More
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